Individual
MR. JONATHAN ROSS FARRAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
78 MEDICAL CENTER DR, FISHERSVILLE, VA 22939-2332
(540) 932-4400
(540) 932-4490
Mailing address
PO BOX 388, FISHERSVILLE, VA 22939-0388
(540) 932-4400
(540) 932-4490
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110009202
VA
363A00000X
Physician Assistant
PA3465
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
291695900
—
FL
Enumeration date
03/15/2007
Last updated
09/22/2023
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